What suture is used for B-Lynch?
What suture is used for B-Lynch?
B-Lynch compression brace suture technique is one of the established conservative surgical procedures which are done for atonic postpartum haemorrhage. B-Lynch is a uterine compression suture, which apposes the anterior and posterior wall through a pair of vertical brace sutures which are put around the uterus.
What is an O’Leary stitch?
Bilateral ligation of the uterine vessels (O’Leary stitch) is the preferred approach for controlling PPH from laceration of the uterine artery or branches of the utero-ovarian artery. If this does not control bleeding, the vessels of the utero-ovarian arcade are similarly ligated.
What is a brace suture?
Quick Reference. A technique in which a compression suture is applied to the uterus, which can be used in cases of severe postpartum haemorrhage as an alternative to an emergency hysterectomy.
What is the most common cause of late postpartum hemorrhage?
Late or secondary PPH occurs between 24 hours and 6 weeks postpartum and occurs in about 1% of women postpartum. Bleeding most commonly occurs between 8 and 14 days after delivery. Common causes include: abnormal involution of the placental site, retained placental tissue, infection and inherited coagulation defects.
What are uterine compression sutures?
Two or three rows of these sutures are placed in each direction to completely envelope and compress the uterus. Cho et al described another technique, where multiple square sutures using a straight number 7 or 8 needle and number 1 chromic catgut is used to approximate the anterior and posterior uterine walls.
What is peripartum hysterectomy?
INTRODUCTION. Peripartum hysterectomy can be defined as a hysterectomy performed at the time, or within 24 hours, of delivery. Another definition is a hysterectomy performed any time from delivery to discharge from the same hospitalization.
How do you do a uterine massage?
As the uterus returns to its nonpregnant size, its muscles contract strongly, which can cause pain. Fundal massage can be performed with one hand over the pubic bone, firmly massaging the uterine fundus (the top of the uterus), or with the addition of one hand in the vagina compressing the two uterine arteries.
How do you perform bimanual uterine compression?
For bimanual compression, the clinician places one hand on the abdomen and the other hand inside the vagina then compresses the uterus between the two hands. These techniques cause the uterus to contract, which treats atony and assists with expulsion of retained placenta or clots.
How is a modified B-Lynch technique performed?
Using a modified B-lynch technique, an initial suture is placed and secured in the middle third of the uterus. Two additional B-lynch sutures are placed lateral to the middle suture. The increased compression of these sutures will cause the initial suture to loosen.
What is the B-Lynch suture used for?
The B-Lynch suture or B-Lynch procedure is a form of compression suture used in obstetrics. It is used to mechanically compress an atonic uterus in the face of severe postpartum hemorrhage. It was developed by Christopher B-Lynch, a consultant obstetrician and gynaecological surgeon based at Milton Keynes General Hospital,…
Who is the father of the B-Lynch method?
It was developed by Christopher B-Lynch, a consultant obstetrician and gynaecological surgeon based at Milton Keynes General Hospital, Milton Keynes, Buckinghamshire, England. B-Lynch was born in 1947 in Sierra Leone with the birth name of Christopher Balogun-Lynch. The technique was first described in 1997.
Where are B-Lynch sutures placed during postpartum hemorrhage at cesarean?
In this surgical case series, we describe a technique where 3 side-by-side B-lynch sutures are placed during postpartum hemorrhage at cesarean. Using a modified B-lynch technique, an initial suture is placed and secured in the middle third of the uterus.
